Amateur Entry Form

Amateur Entry Form:


Name: 
Address: 
Suburb: 

State:  Postcode: 
Telephone:  Mobile: 
Email: 

Handicap:    Golf Link No.: 

Maximum handicap for non-affiliated club members is 22 for men or 36 for ladies.


Shirt Size:  Men:   S M L XL XXL XXXL
  Ladies:   8 10 12 14 16 18

Name of your Dinner Guest (One guest per player included): 
Provide name/s of additional guest/s if applicable: 

Accommodation Arrival Date:    Departure Date: 

CROWNE PLAZA HUNTER VALLEY ACCOMMODATION ROOM RATES

King Deluxe Room
Twin Deluxe Room
2 Bedroom Villa
3 Bedroom Villa
$235 per night
$235 per night
$305 per night
$375 per night

Bookings must be made with Judy Brady with payment to Crowne Plaza Hunter Valley on departure

Due to the Resort’s 7 day cancellation fee, once bookings have been made, the expectation is for you to honour any cancellation within 7 days, otherwise The Jack would incur the cost.


Entry Fee: $2,000 (including GST)

Special request for playing partner or late tee time considered with a donation in addition to entry fee.

If playing early is your preference (no additional fee)
Please tick   Early (7am-8:30am)


Closing Date: 1st October 2018

Early return of entry form & fee is recommended as all positions may be filled prior to closing date.
Position in field cannot be guaranteed until full payment is received.


Please deposit entry fee to:

Account Name: 
Account No.: 
BSB: 
Jack Newton Celebrity Classic
10 265 225
124 071

For further details contact Judy Brady

Phone: (07) 5473 0780 Mobile: 0411 028 970 Email: judy@jacknewtongroup.com

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